The URL can be used to link to this page

Home My WebLink About1241 CONWAY AVE - Building Permits0 PRWECT ADDRESS: 12 4 1- CO14WAY AV UNIT: OWNER'S NAME: BETSY BELL ADDRESS: SAME rr+� 549-4350 " ARCHIENGINEER: . - REG.NO.: ADDRESS: UNIT: PERMITTEE: MAIO PLUMBING ( 714) 568-1555 ADDRESS: 1780 E. MCFADDEN SANTA ANA CA 92704 LICENSED CONTRACTOR DECLARATION:hereby affirm that am licensed antler provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and my license is in full force and effect. CITY Lic.:046527 STATE Lic.:39359_, EAgs:C-20 Date: �� - Signature:))` WORKERS' COMPENSATION DECLARATION: Ihereby affirm that l have a certificate of consent to self -insure or a certificate of Workers' Compensation lo11c1, 16ggnifiV y,y thereof (Section 3000, Lab.•C)1 / 01 / 91 POLICY NO.: UUSTATE77/ V VFUtiNSS 7D I DATE. VV "IMPANY: Yt�,, Certified copy is hereby furnished. CJ Certified copy i in with the city Building Division. , 'Date: oo�p ' '� Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (ties section Ned not be completed if the permit is for one hundred ($100) or less). I cenity that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. 1 Date: Signature: NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed. pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). 1, as owner of the property or my am levees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale(Secbon 7044, Business and Professional Code: The Contractors' State License Law • does not apply to an owner of a property who builds or improves thereon, aid who does sugh work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusivelyy contracting with licensed contractors to construct the project (Section 7044, Business El and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon no who contracts for such projects qm a contractors) license pursuant to the Contractors' State License Law),I am aware that proof of their Worker's Compens¢fion insurance should be provided to me. ❑ loam exempt under Section: B. S P. C. ' for this reason: Date: Owner I do hereby cenity that I am aware of and understand the requirements of California Health and Safety Code Sections 255115, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. - Date: Applicant: I hereby cenity that I have read this application and state that the above information is correct. I agree to comply vain all city and county ordinances and state laws reaming to building construction and hereby auttrodze representatives of this Wo enter upon the above-mentioned property to inspection purposes. Date —f, Date: •� Signature: Driver's License or Social Security 164146 White—Building; Green—Code Enforcement; Canary -Applicant; Pink—Ravenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: EM 048572 PERMIT NO: EM 048572 PLAN CHECK NO: N GOVT: N SUPP.: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE MEC PURPOSE: OTH JOB DESCRIPTION ADD AC /CHANGEOUT HTG SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: ADD A/C UNIT & CHANGEOUT HTG ie iF iF iE iF iE iE 4F iFiH iF iF iF BE 9e 4(-4F4F 4E iE 3(-al-iF jf-iF lt aF aF dF it 7E+t 1Fjl-itdk iE ]F jE iF i4 �F if -0E aF 1EiFjE k iF iE df iF iE+t-lE iE 3F lE 7F iE N -it jF iE 7E iE aF 7E 3E )f -1E ie IE N -1F jE it iE Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT INt LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 14115513 ZNE: REF NO PLANNING NO S> > •,iE iE ye ik ee iE iE it 4t 9F .ae it*ik�ieir yk 36 ie ie iE 9E iF yE iE**iE iE'iElf iE iE if ie iE BE iE iE BE iE iE ie ae lE*ie ak ie iF*iE 3E i6 iE iE ie *9E 9H as ie iE 4Fif iF iE*iF ik ie le* r� D E V E L O P M E N T S E;R'V I C E S R E Q U I R E M E N T S "ZONING APPROVED BY li DATE: .BUILDING APPROVED BY: DATE:, APPLICATION ISSUED BY. ie iElr !E iE iE 3E 9e if iE 9F 4E * 9E 3e 1E eE * * iF ie jE if 9t lk iE iE 1E iF 9e Be iE iE eE if 4F iE iE iE iE iE * yF aE 9H iE aE 1E ie 4e 4t aE 1E LEGALIZATION:N F E E PERMIT BLDG PMT PLUMBING ELECT" PLAN ISSUE.FEE BUILDING—DIV—> TOTALS ---- > PERMIT+ ISSUE 25.50 30,00 15.00 .15,00 PLAN—CHECK TOTAL PAID DUE 0.00 55 50 55 50 00 REVENUE DIUSION TQZALS--> COLLECTED: BLDGWT PLU NG ELECTRIC MECHANIC 22.50 33.00 55.50 OVER/SHORT; 00 FIRE SMIP/TOT GRADING PLAN—CHECK eE fE je aE 4e * iE if 9F iE le iE ie iE 4e fe iE ee 1t if If !F iF iE if ie iE 9F * 3e le!! IE 1F k iE 1E iH * 1t 1e iE * ie et iF lF 1H * k 1F * iE * aE iF 3E * kF iE iF i(- ee iF iE 4E fE ie lE aE 44 iE ie 4e 9t aE iH 9E I N D I V I_D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MOTOR/POWR APPARATUS 1.1 - 10,0 HP 7.50 7,50 MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9,00 9,00 MEC 1 REFRIGERATION SYSTEM <= 100,K BTU/H 9.00 9,00 END OF FEES O1 DOOL7590-00067591 TE_'ET DATE: 08/15/90 TIME: 10!44 55,50 DATE: 08`1 -0 �* PM SM A R Y STRUCTURAL SEGMENT:N MECHBNOICO FIRE SMIP/RES GRADING 50 O2 25% SMIP/NON—RES 15.00 .15,00 PLAN—CHECK TOTAL PAID DUE 0.00 55 50 55 50 00 REVENUE DIUSION TQZALS--> COLLECTED: BLDGWT PLU NG ELECTRIC MECHANIC 22.50 33.00 55.50 OVER/SHORT; 00 FIRE SMIP/TOT GRADING PLAN—CHECK eE fE je aE 4e * iE if 9F iE le iE ie iE 4e fe iE ee 1t if If !F iF iE if ie iE 9F * 3e le!! IE 1F k iE 1E iH * 1t 1e iE * ie et iF lF 1H * k 1F * iE * aE iF 3E * kF iE iF i(- ee iF iE 4E fE ie lE aE 44 iE ie 4e 9t aE iH 9E I N D I V I_D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MOTOR/POWR APPARATUS 1.1 - 10,0 HP 7.50 7,50 MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9,00 9,00 MEC 1 REFRIGERATION SYSTEM <= 100,K BTU/H 9.00 9,00 END OF FEES O1 DOOL7590-00067591 TE_'ET DATE: 08/15/90 TIME: 10!44 55,50 CONSTRUCTIONAND PLANNING APPROVALS Permit #- Date Inspector POOL ?A APPROVALS - -Permit # Date Inspector; 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - - . 2. Soil Pipe-Undrgrnd. �� - 53. Steel Reinforcement _ 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - 5. Steel Reinforcement _ 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8, Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. _Backwash Lines; P -Trap; Q Undrgrnd. 10. Structural Floor System '- 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection ' - 62. ,Backwash & Receptor -Final 12. Sewer Cap - 63.,Heaterr& Vent -Final ' 13. Roof Drains - - 64. Plumbing Systern - Final - 14. Rough Plumbing 65.-Electrical-Fina1 = , 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring.* _ 67.'Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED'FOR PLASTERING , 18. Rough Electrical -T Bar Ceiling 69.'�POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 'APPROVALS -Permit # , 20. Rough Factory Fireplace - 21. Ducts, in Structure 70. Underground Hydro 22. -Ducts, Ventilating - - 71. Product Piping 0Gas OOil 23. Gas Pipe -Rough & Test 24. Roof Framing • 72. Underground Flu •73. Undergrnd.Storage lank OGas OOil 25. Roof Sheathing 74, Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat . - 75: -.Dry Chemical 27. Frame and Flashing - ' ' 76. Dry Standpipe - 28. Lathing & Siding _ -� 77.. FIXED SYSTEM FINAL -29. Insulation - +., 78: -FIRE PREV. FINAL 30. Drywall Nailing �, - . - HEALTH DEPT. REQUIREMENT ;31. Plaster Brown Coat - . 79. FINAL INSPECTION' 32. Electrical Power -Meter -Final - 80. FOOD CERTIFICATE ISSUED _ 33. Final Electric - i ! otes: _ 34. Final Heating & Air Conditioning V [� 35. Final Gas Pipe -Test' 36. Hood or Canopy . 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service -Final 40. Gas.Service-Final 41. Solar Domestic -Final ' 42. Backflow Preventer 43. Backflow Irrigation - 44. Landscape Irrigation System , 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING .49. Electric Release to Edison 50. Gas Release to Southern California Gas Go 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 1241 CONWAY AV OWNER'S NAME: BETSY BELL ADDRESS: SAME � 4549-4350 ARCH ENGINEER: ADDRESS: PERMITTEE: MC BRIDE ELECTRIC ADDRESS: 2206 S WRIGHT ST SANTA ANA LICENSED CONTRACTOR DECLARATION: I hereby a0irm that I am li 7000) of Division 3 of the Business and Professions Code, and CITY LIc.: 0 33 8 4 `0` STATE LIc.:4 3 2 51 Date:/Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm t Compensation sylragcg, qr� ggrtt fieq?py thereof (Section 3800, L POLICY NO.: YY CC 1111 33 i7 11 , EXP COMPANY: FIREMAN FUND. ❑ Candied copy is hereby furnished. 09 Genie copy lite: pF k � rte--! c/ Applicant: EMP ION FROM WORKERS' COMPENSATION DECLARATIO . secb . cenity that in the performance of the work for which this permit is ism subject to the Workers' Compensation Laws of California. UNIT: REG.NO.: UNIT: (714)751-3899 CA 92705 at provisions ter 9 (commencing with Section full elle IC o con en to sel4insure or a certificate of Workers' 01/9 ,Building D "e motet if t permA is for one hundred (8100) or ,ot employ ny person in any manner an as to become Date: - Signature: NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS:-' OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code:. Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) -or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property 'or my employees with wages as their sole' compensation, will do the work, and the (] structure is not intended or offered for sale (Section 7074, Business and Professional Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or .improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve .for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and who Contracts for such that proof of their Worker's ❑ I am exempt under Section: for this reason: I do hereby certify that I am aware of and under. 25534 and that l or any future building occupant permit for construction or modification from the these provisions. Date: ADDIRant: hereby certify that I have read this application and sfelt differences and state laws misting to building Danstmcgon property for inspection purpose ^ (/ Date: Signature: Driver's License or Social'Security X: ctor(s) license pursuant to the Cont Ice should be provided to me. &&P. C. Owner: equirements of California Health and t (circle ply with as gement District esidealiaFC toe above inforpilion is 64K 1proves thereon w). 1 am aware Code Sections 25505, 25533, and -eciderefud the requirements for a tion ap motions are exempt from with all 164146 White-Bulkling; Green—Code Enforcement; Canary—Applicant; Pink—Revenue; Goldenrod—Asveseor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 048577 PERMIT NO: E 048577 PLAN CHECK NO: N, GOVT: N SUPP.: N , CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE, 3,00 PURPOSE: OTH JOB DESCRIPTION : ELECT WORK, NO STRUCTURAL PERMIT SQ FT:" CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3. / COMMENTS: X " Z O N I N G R E Q U I R E M E N T S, S E T B A C K S MAIN BUILDING ---------- ------ ACCESSORY BUILDING ------------ — -----=--- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: 'FT IN LEFT: FT IN RGHT: FT iIN PARKING REQ; PROV: PARCEL: 14115513 ZNE: REF NO: PLANNING N TES> > 9E 9k 9E 9e iE iF ie iF 3F * 9t 9E ifiF 3f k * iF iE iE ifiE 9E iF eF eF 9E 4t it at iE iE iE iE iE ie iE iE 9E 9e iF 9E iE ie 9E ie iE 9e 9F ie 9F ie at aE iE iE aF aE 9F iE iE iE iE 9E * * 3E 9E 9E iE iF it k ie at ie 9E sa iE D E V E L O'P M E N T S:9E„R V I C E S R E Q U I R E M E N T 'S ZONING'APPROVED BY BUILDING APPROVED BY : APPLICATION ISSUED BY: ie ie 1E 9E 1E if ie it ae dF 9e 9e ie ee iF ie 9E 9E iE * k iE�� ie 9E ie * iE 9e iE * iE it 9E iE iF ae 9e 9E ie 9E iE * if iF ie 1f iE 9E ee i0 iE LEGALIZATION:N BLDG PMT PLUMBING PERMIT PLAN ISSUE FEE DATE: DATE: S DATE: iE 9F eE 1t lE iF 9F ie lE 9e 9E * iE fE fF iE iE iE * ie * 1k dF iE ae 4e dF iE iF 9E 3k 9e *!E ie 9F aE ae iF iF 9E ik ie 1E IF al -9F EtE S U M M A R'Y STRUCTURAL SEGMENT:N' • ELECTRIC MECHANIC FIRE' SMIP/RES GRADING 21.50 50% 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS ---- > 21,50 15,00 0,00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 36.50 SMIP/NON—RES TOTAL PAID DUE 36,50 36,50 .00 3 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK 9E 9E * 9E eE * ie 4f ie ie 9e 9e iF 1F 9E * 3E * iF iE lF 9t iE iF 9t 4k 9E * *!E!E iE 1k ie ie ie lE 9E 9E ee 1e * iE jF iE iE 9t * iE lE 9E 9k ie 4E 1E iE 9e iE iE * 4E iE iE lE jF iF'if 9E 9e iF 9E 9E iE 9E 9F iE * 9E 4E I N D V I D U A L F E E B R E A K D O W N TYPE QTY' D E S C R I P T I O N UNIT COST • 1 TOTAL COST ELE 1 RES APPLIANCE NOT OVER 1.0 HP 3,00 3,00 ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18.50 18,50 END OF FEES I 01 00067630-00067530 TOT DATE: 02115190 7I1E: i4:7.4 36.511 CONSTRUCTION AND PLANNING APPRO ALS Permit # Date Inspector POOL _ c t- APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole : 52. Pool'&,Equipment Location 2. .Soil 0Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd: - 54. Forms- - 4. Electrical Conduit-Undrgrnd." 55. Electrical Bonding - 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER.GUNITE - 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, O.Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL.TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final . 12. Sewer Cap 63. Heater. &Vent=Final _ 13. Roof Drains - -' 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Firial 15. Rough Electrical-Conduit 66. Solar System-Final - ' 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL -19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - APPROVALS Permit # 20. Rough Factory Fireplace - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating - - 71. Product Piping 0 Gas 000 23. Gas Pipe-Rough & Test _ _ 72. Underground Flush '- 24. Roof Framing •73: Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing 74.�Overhead Hydro- ' 26." T-Bar Ceiling (Structural) & Monocoat - 75.-'Dry Chemical - 27. Frame and Flashing -, - 76. Dry Standpipe - 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation - 78t`FIRE PREY. FINAL 30. Drywall Nailing HEALTH-DEPT. REQUIREMENT 31. Plaster Brown Coat' 79. FINAL INSPECTION' 32.-Electrical Power Meter-Final 8 Z 0. FOOD CERTIFICATE ISSUED 33. Final Electric. Notes: - • 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or,Canopy .. 37. Final Factory Fireplace - - 38. Final Plumbing r- •. 39. Water Service-Final. ' 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer' , 43. Backflow Irrigation - .44. Landscape Irrigation System 45. Sound Attenuation ' 46. Handicap Regulations. 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date OWNER p TF1;F-MF'S4 MMPdN`i DATE 2_1JI_57 JOBADDRESS 12lJ1 ConwayAvenue BUILDING PERMIT NO. GENERAL CONTRACTOR The Hale Comnanv- v VALUE x— LOT 2 BLOCK TRACT 2671S_�1P TCS.W/2tt• gQr- GROUP I & J TYPEy ZONE FIRE DISTRICT 1138)1 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER _ Footing Trench Foundation Forms and Grade to Garage of 3 _//-.5 3 Rough Framing _�— Plumbmg,Rough toSlaben� Plumbing, Rough Complete Temporary Pole Wiring, Rough -VSi7 k ✓ Heating, Rough /j)//S /�7 ./ 1 �G._17-S7 //3G0 ✓ Heating, Final ,Cell /o /b -T7 Sewer, House OA(_ Sewer, St. Yn B$ Septic Tank or Cesspool Lathing, In Out ,�617 Plastering -/9'S �V _j it ,i� ,j', 'N,�,« ., L,'j-/r-,r CJ .?(IZJ _ _ Plumbing, Final, Fixtures Complete ,YhL(- /a /b -.f7 Plumbing, Final Gas Test /5— p �O �- D -i ��-moi=� Wiring, Final��T1 nne�A✓✓ Ocnu oa ncv tln 1Lr r,. �.. ,-_ FORM 210 9M 10-55 h 308 osta Mesa Building DepartmentPLICATION FOR PERMIT P. O. Box 317 4384 BUILDING COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. Permit No. Building Address 1241 Conway Avenue Costa Mesa, California Received by Date Recd. Date Issued 1 FEB 1 `t 1957 Nearest Cross St. Fairview & Baker Building' Address Owner College Mesa Com an Costa Mesa, California Mail Address 1777 W. Lincoln Ave., Nearest Cross St. Tel. City Anaheim No. KE 3-3161 Zone No. of Plans Type Grou Architect or. Engineer Quigley & Clark No. 08884 Approved b Date Address 1323 No.Broadway,Santa A CORRECTIONS City Lie. Contractor The Hale Company No, 3422 Address 1777 W. Lincoln Ave. Anaheim Legal Description Lot I No. 2 I I Block I Tract 2671 _ (Attach Metesand Bounds) No. of Bldgs. Size of Lot 62'"x 100 I Now on Lot None Use of No.of Existing Bldg. Families No.of I Rooms 6 O 7s Z Setback Line from SOj Rear Yard ' Center of Street Side Yard 51 D DESCRIPTION OF WORK New X I Alteration Addition Repair I I Moving I Demolish ri Building 1260No.0 of Size Rooms 6 Storie 1 Exterior Wall Covering Stucco I Roof Covering Rock= APPROVALS Use of New Building Single family dwelling with Foundation Location Forms, Materials, Under -Pinning Inspector Date attached garage. Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application )and state that the above is correct and agree to comply with all City Ordinances and State Laws regulating building construction. Signature of Permittee T HALE COM Authorized Lath. Int. Lath. Ext. Plaster, Int. Plaster, Ext. Valuation $10,880.00 Permit Fee $ 26.00 Plan Check $ 13 Masonry Reinforced Bond Beam Total Fee 39,00 FINAL FORM 204 1055 O. P. 6 S. PLOT PLAN Show location and distances from property line and between buildings. I •- a J r, ac J d � 4 6 � Street PLOT PLAN Show location and distances from property line and between buildings. I